Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $37.58 / $181.72	Facility		$20.22	$37.58	$181.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.85 / $22.85	Professional		$13.82	$16.85	$22.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $43.81 / $46.34	Facility		$36.22	$43.81	$46.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $67.40	Professional		$7.16	$7.16	$67.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $41.18 / $42.80	Facility		$12.59	$41.18	$42.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $16.85	Professional		$16.85	$16.85	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.38 / $51.56	Professional		$19.41	$45.38	$51.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $13.48 / $20.22	Facility		$12.93	$13.48	$20.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $13.97 / $80.04	Facility		$12.93	$13.97	$80.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $11.86 / $32.24	Professional		$4.79	$11.86	$32.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $25.28 / $85.00	Professional		$8.34	$25.28	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $13.48 / $20.22	Facility		$12.93	$13.48	$20.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $41.18 / $153.76	Professional		$19.76	$41.18	$153.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $33.70 / $80.04	Facility		$33.70	$33.70	$80.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $14.11 / $14.11	Professional		$9.64	$14.11	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $35.88 / $39.86	Professional		$35.88	$35.88	$39.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $39.86 / $92.00	Professional		$29.34	$39.86	$92.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $13.48 / $36.56	Facility		$13.48	$13.48	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $10.11 / $31.36	Professional		$4.91	$10.11	$31.36